I'm having surgery for medical reasons as I broke my nose in a fight and it affects my breathing, and was wondering if the surgeon would do anything different because it is for medical reasons not cosmetic? Lots of answers on here are for altering noses for beauty, but only a few for medical reasons (that I've found) Is there a difference? Besides what actually happens in the nose.
Rhinoplasty for Medical Reasons Vs. for Cosmetic Reasons
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Trauma vs cosmetic
The surgical repair for nasal airway obstruction is most often only septal work that is not seen on the outside of the nose. Unless the whole nose shifts to one side then it should appear more mid line. What will be most noticeable is an improvement in your ability to breathe.
Anytime rhinoplasty for cosmetic purposes is performed, the functional components of the nose should be improved or at least respected and preserved. Improving nasal function after nasal trauma is paramount and should go hand in hand with improving cosmesis. Seek an experienced rhinoplasty surgeon for both aspects.
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Ideally a board certified plastic surgeon (who performs cosmetic surgery) would reset your nasal bones (if they are displaced), while a board certified Ear Nose and Throat surgeon (who can work on your nasal passage) would help your cosmetic surgeon by making you breath better. Plastic surgeons are more inclined towards making noses beautiful at the expense of some functional compromise, while ENT surgeons are more functional in their approach. There are plastic surgeons who are good septoplasty surgeons, and many ENT surgeons are good rhinoplasty surgeons, but that's the exception not the norm. Pick your Dr.s carefully, and let your main concern (not coverage issues) guild you as to who to go to. Shop around for the right skill sets.
Functional vs. Aesthetic Rhinoplasty
This is a fantastic question! Yes, there is a difference. On one hand, functional rhinoplasty improves nasal breathing versus cosmetic which only addresses the aesthetic aspects. You can have both address, one, or both depending on the areas which you feel need to be addressed.
Rhinoplasty - medical vs cosmetic
Hi Cazz. There is a difference between functional and cosmetic nasal surgery (rhinoplasty), although similar techniques are used for both. When nasal surgery is performed for breathing difficulty or deformity, it is referred to as functional or reconstructive surgery. In the US, health insurance usually covers functional surgery for breathing issues, and may cover reconstructive surgery if the cause is medical or the injury is recent. Surgical maneuvers to fine-tune the nasal appearance in ways that do not improve function are considered cosmetic. Frequently, patients who will be undergoing functional / reconstructive rhinoplasty wish to utilize that opportunity to have cosmetic work performed - since they will already be under anesthesia and the surgeon will be already working on the nose. Functional / reconstructive nasal surgery can be combined with cosmetic nasal surgery if there is some purely cosmetic issue that you would like to have addressed at the time of surgery. I hope that helps your understanding. Good luck.
Rhinoplasty fo Functional and Cosmetic Indications
I'm sure your surgeon will make cosmetic and functional changes to meet your individual needs and improve your nose during your rhinoplasty surgery.
Rhinoplasty to correct breathing after nasal fracture
The overall approach to the nose in either a functional or cosmetic case is similar. If you only want the breathing to improve then straightening out the deviation of the nose and septum should help. Depending on your anatomy structural gratts (spreader graft, alar batten graft) may also help with both of these issues.
Surgery for breathing
If your only concern is breathing and you are happy with the way your nose looks then you don't need a rhinoplasty and it is considered a functional (or medical) vs. a cosmetic procedure.
Medical Rhinoplasty vs Cosmetic Rhinoplasty
You plastic and cosmetic surgeon will need you to tell him/her that you want to cosmetically improve the look of your nose during the Rhinoplasty or this would not be addressed. Fixing the breathing is completely separate and different than making the nose more attractive. If you don't speak up, it won't automatically be done. All aspects, goals, plans, risks, benefits of every surgical procedure should be discussed with the patient by the surgeon. If it's not discussed and you are not consented for each procedure, it can't and shouldn't be done.